Provider Demographics
NPI:1427129535
Name:CARMAN, CHAD (DO)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:CARMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2090 OMAHA DR
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-6560
Mailing Address - Country:US
Mailing Address - Phone:928-753-2059
Mailing Address - Fax:928-753-2059
Practice Address - Street 1:3269 STOCKTON HILL RD
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-3619
Practice Address - Country:US
Practice Address - Phone:928-757-0645
Practice Address - Fax:928-692-2746
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4249207P00000X
UT7584137-1204207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH91712Medicare UPIN